Your Eye Surgery

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Reporting VenueDate: Time:

Kindly report to:

Day Surgery, Changi General Hospital (CGH) Main Building, Level 3, Lift Lobby A

Kindly report to Level 3, Ward 3Bof Parkway East Hospital

Parkway East Hospital(please refer to attached map)

Proceed to the nurse station for registration.

Parkway East Hospital (PEH)

Table of Contents

Surgical Journey 3

Parkway East Hospital Ward 4

Directory Map of PEH 4

Common Do’s and Don’ts 5-6

Eye Care 7-8

Fasting Instructions 10-11

Precautionary Measures 12

Emergency Contact 12

Stop Before Your Operation and Stay Smoke Free After 12

Important Reminders 13

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Surgical Journey

Pre-operative Anaesthesia Assessment Clinic (PAAC)

Counselling on:Fasting Instructions: 10-11Morning Surgery: 10Afternoon Surgery: 11

Plan for Surgery

Day of Surgery

Changi General Hospital (CGH) Parkway East Hospital (PEH)

Post-anaesthesia Care Unit (PACU) Recovery Area

Day Surgery Ward/Ward 3B PEH

Home

Home

Parkway East Hospital WardAfter the operation, you will be closely monitored in the ward until you are stable for discharge.

Directory Map of PEHWhere is CGH Ward 3B?CGH Ward 3B is located on level 3 of Parkway East Hospital. Located in the heart of Telok Kurau Estate, it is approximately 15 minutes drive or cab ride from CGH.

Address:Parkway East Hospital

321 Joo Chiat Place, Level 3, Singapore 427990Tel: 6342 5710

Nearest Train Station:Eunos MRT

Bus Services:15, 33, 155

Visiting Hours:Weekends and Public Holiday12pm to 9pm

Monday - Friday12pm to 2pm5pm to 9pm

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Common Do’s and Don’ts

DO’S

DON’TS

Take all prescribed medicines and apply eye drops as instructed.

Wear sunglasses or eye shield when being outdoors for the first two

weeks.

Sit on a chair to wash your hair with your head tilted slightly backwards

like when you are at a hair salon.

Keep fingernails short and clean.

Perform hand hygiene before and after eye drops instillation.

Do not use cotton bud or towel to clean around the eye area. The friction may cause eye irritation.

Do not participate in strenuous physical activity

(e. g. swimming, jogging, tai chi) for the first four weeks.

Do not do heavy cooking such as deep frying for the first two weeks.

Do not drive for at least 2-4 weeks after operation or

until your vision is clear.

Do not touch the inside of your eyes or rub/press your eyes for

the first four weeks.

Do not get water/soap/shampoo in contact with your eyes when

washing face and hair for the first two weeks.

Do not bend over to put on your shoes, lift or carry heavy objects for the first four weeks. Bending your head downward and lifting heavy objects exert pressure on the eye.

Do not go travelling or visit crowded and smoky areas for the first two weeks as advised by your surgeon.

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EYE CAREEye lid cleaning after eye surgeryRemove the eye shield when you wake up in the morning, and clean the operated eye 1-2 times daily for 2 weeks post-surgery.

For cleaning of your operated eye, you need1. Sterile cotton ball pack

2. Normal saline 0.9% solution (20mls)

3. Desk mirror if possible

CLEANING STEPS1. Wash your hands with soap and water.

2. Dry your hands completely.

3. Moisten some clean cotton balls with the normal saline 0.9% (ensure that the saline is not dripping from the cotton balls).

4. Close the operated eye.

5. Gently clean the eyelids with the wet swabs from inner to outer corner of the eye.

6. To look upwards when wiping along the lower eyelashes, start from corner nearest to the nose.

7. Use each swab once only to prevent contamination.

8. N/Saline 0.9% to be used once only; balance to be thrown away.

9. Clean the plastic eye shield with soap and water, rinse well and dry it completely before each use. Wear the shield during bed time for 2-3 weeks after surgery.

10. Instil eye drops as instructed by doctor.

Eye DropsYou may be asked to apply eye drops for 1-2 days prior to the surgery.

Commonly used eye drops are:

Follow up Appointment After surgery, you will have to come back the next day for doctor’s review.

The timing of subsequent reviews varies from a week to three months later.

Do not apply pressure on the operated eye when cleaning the eyelids.

Do not attempt to use force to remove the dried crust around the eyelids, place a moistened swab on the closed eyelid for 1 or 2 minutes. This helps to soften the crust and makes it easy to clean.

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Fasting InstructionsIf your eye surgery is scheduled to be IN THE MORNING

For cases under sedation or regional anaesthesia, NO food/chewing gum/sweets should be taken after 12 midnight before the day of surgery.

You may drink a maximum of 200ml of non-carbonated clear fluid up to 6am.

手术前一天晚上12点过后不可以吃东西/口香糖/糖果，还可以喝水到早上6点。

早上6点前，只允许喝大约200毫升的白开水。6点过后禁止任何食物及饮料。

(Paste fasting form here)

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If your eye surgery is scheduled to be IN THE AFTERNOON Light breakfast (e.g. a slice of plain bread/3 pieces of plain biscuits, with

non-carbonated clear fluid e.g. honey water) before 6am on the day of surgery. NO food/chewing gum/sweets after 6am, except non-carbonated clear fluid up to 10am.

You may drink a maximum of 200ml of non-carbonated clear fluid up to 10am.

From 6am - 10am, maximum 200ml of

non-carbonated clear fluid

Before 6am

Precautionary MeasuresSigns of infection

手术当天早上6点之前，只允许吃清淡的早餐例如一片白面包或三片苏打饼干配没有含碳酸气的饮料例如蜂蜜水。面包或饼干不可涂上任何添加物例如：牛油或花生酱。

早上6点至10点：只允许喝少量清水(总量不可超过200毫升)，但不可饮食。10点过后禁止任何食物及饮料。

Increasing pain and redness of the eye

Yellow discharge

Eye swelling

Sudden blurring of vision or floaters

Fever

* If you notice any of these signs, you should see your eye doctor immediately.

More pain Breathing problem Poor wound healing

Heart attacks and strokes Infection

If you stop before surgery for:

6-8 weeks : Reduced risk of postoperative complications

4 weeks : Reduced risk of breathing problems, wound related complications

24 hours : Oxygen carrying capacity of blood returns to near normal.

How Can You Get Help? Speak to your doctor or nurse, or call

6850 3333 to book an appointment for Smoking Cessation Clinic in CGH.

Call ‘Quit Smoking’ hotline: 1800 438 2000

Visit HPB website: www.hpb.gov.sg/iquit

Emergency Contact If you are feeling unwell after office hours you may seek treatment from your

General Practitioner (GP) or the Accident and Emergency (A&E) department.

Stop Before Your Operation and Stay Smoke Free AfterSmokers undergoing surgery are more likely to suffer:

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Important Reminders Follow the fasting and medication instructions, as advised by the anaesthetist/

nurse during your PAAC visit. Bring all your inhalers on the day of surgery. Do have a shower and do not apply lotions, creams or make-up, hair oil/gel on the

day of surgery. These may cause skin irritation while under anaesthesia. For your safety, please remove all jewellery, piercing, nail polish and contact

lenses. Please call CGH Appointment Centre at 6850 3333 if you need to cancel or change

the date of operation e.g. if you have flu or upper respiratory infection, fever, sore eye or diarrhoea.

Kindly purchase your prescribed eye drops from any of the pharmacies below.

Main Building, Level 1

Medical Centre, Level 1

Pharmacy A: opposite A&E department

Pharmacy @ MC: near lift lobby F

Pharmacy B: near lift lobby C

2 Simei Street 3 Singapore 529889 Tel: 6788 8833 Fax: 6788 0933

Reg No 198904226R

CGH Appointment Centre

For appointments and enquiries, please call: (65) 6850 3333

Operating hours: 8.30 am to 8.00 pm (Monday to Friday)

8.30 am to 12.30 pm (Saturday & Sunday) Closed on Public Holidays

For more information, please visit www.cgh.com.sg

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All information is valid at the time of printing (June 2018) and subject to revision without prior notice.